Active NPI
Cotey Jordan
- Chiropractor
- Cranberry TWP, PA
National Provider Identifier
1215710876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC010769
- Practice address
- 9543 Goehring Rd
Cranberry TWP, PA 16066-3715 - Phone
- (724) 741-6080
- NPI assigned
- Aug 17, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC010769 | PA | Primary |
Addresses
Primary practice location
9543 Goehring Rd
Cranberry TWP, PA 16066-3715
Mailing address
9543 Goehring Rd
Cranberry TWP, PA 16066-3715
Phone (724) 741-6080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC010769 | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1215710876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9543 GOEHRING RD",
"city": "CRANBERRY TWP",
"state": "PA",
"postal_code": "160663715",
"telephone_number": "724-741-6080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9543 GOEHRING RD",
"city": "CRANBERRY TWP",
"state": "PA",
"postal_code": "160663715",
"telephone_number": "724-741-6080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "COTEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-17",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC010769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cranberry TWP, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.